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Portugal:

How did we achieve the best reduction

in child road mortality over the past decade?in child road mortality over the past decade?

Sandra Nascimento

February 9 2009

www.apsi.org.pt

February 9 2009

Associação para a Promoção da Segurança InfantilAssociação para a Promoção da Segurança InfantilPortuguese Association for Child Safety Promotion

is a private non-profit organisation, launched in 1992, with the

bj ti f ti j i t ff t f th d ti f th bobjective of promoting joint efforts for the reduction of the number

and severity of injuries to children and adolescents

INTERVENTION AREAS

• Road Safety

Tools:

• Information & Communicationy

• Home Safety

• Drowning Prevention

• Training & Education

• Research

www.apsi.org.pt• School, Sports, Playground Safety • Standardisation

• Legislation

Child Road MortalityChild Road MortalitySharp decrease between 1998/2006(children up to 17 years old)(children up to 17 years old)

Number of deaths (1998 2006)

Deaths among pedestrians, passengers and drivers

250 (1998-2006)

420

2812 0300350400450

50100150200 Pedestrians

Passengers

Drivers

162

050

100150200250 0

1998-2000 2001-2003 2004-2006

- Decrease of mortality in all road users 1998-2000 2001-2003 2004 -2006

In 8 years, mortality decreased for almost 1/3- Half of dead children are car passengers

www.apsi.org.pt

Measures with direct impact:Measures with direct impact:1/ Child restraint systems (CRS)

CRS use in highways (0-12 years) - evolution

80100

0204060

f

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Intenção de Protecção Protecção CorrectaProtection intention Correct protection

- In 11 years the situation reversed: from less than 20% of CRS use in 1996 to more than 80% in 2007

- but still in 2007: only a little more than half of the hild ll i d

- Protection increased more in children > 3 years old, since 2005

www.apsi.org.ptchildren are well carried

Measures with direct impact1/ Child restraint systems (CRS)

CRS use in highways (0-12 years) - evolution

Importance of law changes:Importance of law changes: mandatory use of CRS until 3 years (1995)

and until 12 years (2005)Protection intention Correct protection

and until 12 years (2005)

Informative campaigns

Enforcementwww.apsi.org.pt

Enforcement

Child Road Safety in PortugalMeasures with direct impact

Reduction of VAT for CRSReduction of VAT for CRSNew law adopted in Jan 2009

www.apsi.org.pt

Measures with direct impact2/ Promoting rearward facing seat

100%

APSI, 2007100%

APSI, 2001

CRS ORIENTATION ACCORDING TO CHILD AGE

40%

60%

80%

100%

40%

60%

80%

0%

20%

0-6 m 6-9 m 9-12 m 12-18 m

0%

20%

0-6 m 6-9 m 9-12 m 12-18 m

Forward facing Rearward facingForward facing Rearward facing

Rwf increased in age group 9-12 M and even in group 12-18 M(most difficult age groups)

www.apsi.org.pt9-12 M RwF - less than 30% to more than 50%

12-18 M RwF - less than 10% to more than 20%

Measures with direct impact2/ Promoting rearward facing seat

APSI I f ti C iAPSI Information Campaigns

APSI CRS CheckpointsAPSI CRS Checkpoints

www.apsi.org.pt

Child R d S f t i P t lChild Road Safety in Portugal3/ Best Practices – Transport of Children in OrganizedGroups

• Training courses for drivers (since 2000) and accompanying adult

Groups

(since 2005) - APSI

• Law for transport of children in organised/institutional groups in minivans coaches and buses (2006) due to APSI influenceminivans, coaches and buses (2006) - due to APSI influence

• Law requires: vehicles with seatbelts and CRSvehicles with seatbelts and CRSprofessional training for driverscriteria for the choice of safe vehicle stopspresence of an accompanying adult (with reflective vest)

www.apsi.org.pt

presence of an accompanying adult (with reflective vest)responsible to check/fixing CRS/seatbelt and help children cross streets

Child R d S f t i P t lChild Road Safety in Portugal4/ Best Practices – Health Professionals

• Training courses for paediatricians, family doctors and nurses to promote adequate counselling to families

• Safe First Trip - initiative from some hospitals that obliges that all newborn leave the Hospital in a CRS

• Distribution of information on safe transport, inMaternities, to all parents of newborns

• Adoption of harmonised messages on child safety in• Adoption of harmonised messages on child safety in cars – APSI recommendations were integrated in National Child Health Program and by Portuguese S i t f P di t i i

www.apsi.org.ptSociety of Paediatrician

Child R d S f t i P t lChild Road Safety in Portugal5/ Successful Approaches – Community Intervention

• CRS Checkpoints (since 2001)

trained inspectors check CRS in cars of families p

• Safe Road to School - Faro (2003 to 2005)

police training, educational/informative sessions forpolice training, educational/informative sessions for children and parents, enforcement, road safety week

• Safety of Children in Cars - Around country (2008)evaluation studies, schools sessions, local seminar for professionals and families, CRS checkpoints

li i th iti fi h lth f i lwww.apsi.org.pt

policie authorities, firemen, health professionals, health students, municipalities, schools, media, families

Child Road MortalityPositive Evolution – But not enough!

(annual average) 2001/2003

D h 94

2004/2006 (annual average)

D h 454Deaths - 94

Serious injuries - 560

Deaths - 54


54

jSlight injuries - 6390

Permanent disabilities - ?Temporary disabilities ?


Permanent disabilities - ?Temporary disabilities ?Temporary disabilities - ? Temporary disabilities - ?

www.apsi.org.pt


54In the last 3 years, every day, 16 children are

victims of a road accident

9 cars passengers, 4 pedestrians, 3 drivers

54victims of a road accident

Road accidents the major cause of death in children

Portugal is among the group of European countries with higher road mortality

www.apsi.org.pt

with higher road mortality


(annual average) 2001/2003

D h 94

2004/2006 (annual average)

D h 454In the last 3 years every day 16 children areDeaths - 94


Deaths - 54


54In the last 3 years, every day, 16 children are victims of a road accident





9 cars passengers, 4 pedestrians, 3 driversRoad accidents the major cause of death in children

Temporary disabilities - ? Temporary disabilities - ?

Portugal are the group of European countries with higher road mortality

www.apsi.org.pt

with higher road mortality

Priorities for the future

I CRS

Priorities for the future

• Increase CRS use

• Promote the use of rearward facing CRS until 3 or 4 years old3 or 4 years old

• Reduce CRS misuse

• Extend Safe First Trip Programme to all hospitals and increase the number of health professionals with specific trainingprofessionals with specific training

• Training police officers and CRS sellers (for better enforcement and counselling)

www.apsi.org.pt

better enforcement and counselling)

Priorities for the Future (continued)

• Reduce urban speeds (down to 30 km/h) in specific locations (ex:• Reduce urban speeds (down to 30 km/h) in specific locations (ex: near schools, playgrounds and residential areas)

• Create better road infrastructures for pedestrianp

• Enforce the use of bicycle helmets and strategies to increase their visibility in traffic (ex: lights, reflective materials)

• Development of informative campaigns with harmonised messagesDirect contact with familiesDirect contact with familiesInvolvement of local authorities/institutions and local professionalsInformation + education/training + enforcement + evaluation

www.apsi.org.pt

apsi@apsi org [email protected]

www.apsi.org.ptp g p

Sandra Nascimento

February 9 2009

www.apsi.org.pt

February 9 2009

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